Dr Roger Perkins
Should you have
What is a hysterectomy?
Different types of surgery
"Generally, I prefer to remove the uterus using the laparoscopic technique, which allows you to go home the next day and recovery is quicker. Unless specifically requested, it is usual to remove the intact uterus, although partial (‘subtotal’) hysterectomy is sometimes performed. In that case, the cervix is not removed. This means ongoing cervical surveillance (‘Paps’) with the usual screening intervals."
What does the procedure involve?
"Gas is inserted into the abdomen to allow the operation to proceed. Next, 4 thin tubes (‘ports’) are placed in the wall of the abdomen through which the surgery instruments are inserted. There are advanced instruments that are designed to do the surgery safely. The uterus is removed through the natural vaginal opening."
After your surgery
When you wake up you may feel some pain and be tired. We will give you painkillers to reduce your discomfort. The day after surgery we will encourage you to take a short walk to prevent blood clots from developing in your legs.
If you have had a vaginal or laparoscopic hysterectomy, you may be able to leave the hospital after 1 or 4 days. If you have had an abdominal hysterectomy, it may take up to 5 days before you are discharged. Follow-up appointments with the hospital are only needed in case of any complications. When you have had an abdominal hysterectomy it may take up to 8 weeks to fully recover. Vaginal or laparoscopic hysterectomy have shorter recovery times.
"At home, you should take time over the next two weeks to rest as much as possible. Try not to exert yourself. We recommend against heavy lifting and exercise for two weeks. Most women will be able to return to work in three weeks. Intercourse is allowable after ten weeks. Two weeks after the procedure, you will see me again for follow up."
Following hysterectomy, there is no adverse effect on sexuality, and it is possible to enjoy intimacy as beforehand.
As I mentioned before, the decision to have a hysterectomy is not taken lightly and when you have had the procedure you may sense a loss or feel sad. That is normal. If these feelings don’t go away over time, it is important to speak to me or your GP.
More about Dr Roger Perkins
"My aim is to make you feel comfortable at all times. My consultation style is unrushed and I respect your schedule by minimising waiting times. You’re a unique person and I make it my goal to truly get to know you."